Page 32 - HPP ANTIMICROBIAL GUIDELINE 2018

NON-SURGICAL

Maintenance of optimal oral health and hygiene is essential to reduce the incidence of bacteraemia from daily activity. Infective
endocarditis (IE) prophylaxis for dental procedures is indicated for the following cardiac conditions:

• Prosthetic heart valves, including bio prosthetic and homograft valves
• Prosthetic material used for cardiac valve repair
• A prior history of IE
• Following congenital heart disease
• Unrepaired cyanotic congenital heart disease, including palliative shunts and conduits
• Completely repaired congenital heart defects with prosthetic material or device, whether placed by surgery or by catheter
intervention, during the 6 months after the procedure
• Repaired congenital heart disease with residual defects at the site or adjacent to the site of the prosthetic device (which inhibit
endothelisation)
• Cardiac "valvulopathy" in a transplanted heart. Valvulopathy is defined as documentation of substantial leaflet pathology and
regurgitation

Dental procedures for which prophylaxis is recommended

All dental procedures involve manipulation of gingival tissue or the periapical region of teeth or perforation of gingival mucosa.

Other procedures for which prophylaxis is recommended

Antibiotic prophylaxis may be given to high risk patients who undergo invasive procedure:
• Procedures of respiratory tract that involve incision or biopsy of the respiratory mucosa
• GI or GU procedures in patients with ongoing GI or GU tract infection
• Procedures on infected skin, skin structure, or musculoskeletal tissue
• Surgery for prosthetic heart valves or prosthetic intravascular or intracardiac materials

HPP AMG Chemoprophylaxis 11